Insurance verification

Insurance verified before you schedule.

Every patient is verified before the first visit — coverage, copay, deductible, and whether the plan is one you can actually bill.

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Insurance

Insurance

Member ID

Member ID
How it works

Every insurance plan verified — and the problem ones caught

Problem plans, caught up front

Terminated coverage, a Medicare Advantage plan hiding behind a Medicare card, a payer that's temporarily down — the check catches billing problems while they're still booking problems, not denials.

Medicare

1EG4-TE5-MK72

What the check found

Medicare

On file

Medicare

Not billable
Humana

Actually enrolled

Humana Medicare Advantage

Bill this

Only see patients on the plans you accept

HMO vs. PPO, Medi-Cal, commercial — every plan is identified in real time, and you configure which ones your practice takes. Everything else is filtered out before it reaches your schedule.

Plans your practice accepts

Medicare
Aetna PPO
Blue Shield of California
HMO plans
Medi-Cal

Coverage and copays, visible to you and your patient

The patient sees what this visit costs them while they book it. You see the same plan in the chart with the detail you need to bill it — what's left on the deductible, how far into the out-of-pocket max they are, and how many visits the plan allows. Nobody is surprised by a bill.

Insurance verified
Aetna

Aetna PPO

What your patient sees while booking

$25copay per visit
Deductible left$150

What you see in the chart

Deductible$150 left of $500
Out-of-pocket max$820 left of $3,000

Catch inactive plans the day of, not weeks later

Coverage doesn't hold still. A patient switches carriers mid-plan-of-care, ages onto Medicare, or their plan simply goes inactive — and nobody tells you. Benefits are re-checked before every visit, so you find out the day it happens instead of billing for weeks or months and learning about it from a stack of denials.

Coverage checks

Visit 1 · Mar 4$25 copay
Visit 6 · Apr 22$25 copay
Visit 11 · Jun 3Plan now inactive

Medicare, understood deeply

Medicare as primary and the Supplement behind it are both verified, so the secondary is known before you bill rather than discovered afterward. Dual-eligible patients are identified as Medicare and Medicaid, therapy-cap usage is tracked per patient, and cost-sharing rules are applied to what the patient is shown.

Medicare details

Therapy cap used$780 / $2,410
Supplement verified as secondary
Medicare / Medicaid dual eligible
No home health episode detected

Verified before every visit, billed right after it

Because the plan is re-checked before every visit, the claim always knows who to bill and what the patient owes. Finish the visit, submit it, and the claim is built against the right payer — whether you're billing in-network or filing out-of-network on the patient's behalf.

Visit submitted

Billed toAetna PPO
Patient owes$25 copay
Codes97110 · 97140
Claim built with verified benefits

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